College of Nursing
University of Missouri St. Louis
N3205 Adult Health Nursing I
REFLECTION ASSIGNMENT FOR OBSERVATION EXPERIENCE
Respond to the following questions/statements about your PACU or ENDO observation experience. This assignment is due the week of the observation experience. Submit this to your clinical instructor and to Debra Connell-Dent.
Date of Experience: __2/22/18 (PACU observation)___
How was the nursing process-assessment, planning, implementation, and evaluation-utilized in this area?
Assessment is a fundamental component of any nurse’s role. However, from what I observed today it seems particularly vital to the PACU nurse. While they do provide interventions, the majority of PACU nurses’ time is spent assessing their patients and documenting their findings. Patients in the PACU have undergone the significant stressor of surgery under general anesthesia and they have the potential for very serious complications. It is up to the PACU nurse to observe if the patient is declining and act quickly and appropriately.
Planning - There are a certain number of criteria a patient must meet before leaving the PACU. These are the goals the nurse sets when planning for the patient.
Implementation - The nurse is responsible for providing multiple interventions for patients, including:
Providing the patient with adequate pain and nausea medications, oxygen therapy, and IV fluids
Ensuring the patient is properly positioned and has ice packs, water or ice chips,
CAM-ICU Quantitative Analysis Critically ill patients admitted to the Intensive Care Unit (ICU) are at an increased risk for developing delirium. A prevalence is seen with acute brain dysfunction, such as brain attacks, and increases morbidity and mortality rates. The Confusion Assessment Method for the Intensive Care (CAM-ICU) is an assessment tool utilized by critical care nurses to evaluate and distinguish the development of delirium in ICU patients. Implementing CAM-ICU will provide a consistent assessment tool for the detection of delirium, allowing for early recognition, and decrease adverse effects created by delirium in critically ill patients. CAM-ICU in critical care CAM-ICU is an effective assessment tool in the early recognition of delirium.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice.
Keiser University Nursing Program Applicant Writing Assignment Please identify and describe characteristics of nursing practice as you understand it, that have attracted you to the profession. Describe any work, volunteer or life experiences, which you believe have prepared you for nursing education. What personal qualities do you possess that you believe would enhance your practice of nursing.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Module 3 (Week 3) Part Three: Community Health Nursing Intervention Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
Module 1 - Critical assignment Throughout this essay the author will explore the possible impacts of leadership upon patient experience based on a recent patient observation untaken on the 18th December 2017 at the Eye Care Clinic: an outpatient department within Queen Alexandra Hospital, Portsmouth. This clinical service was chosen as it deals with a diverse selection of Portsmouth’s population and was recently highlighted, by the trust, to need feedback due to recent friends and family questionnaire feedback. The area chosen for the observation was a section of the clinic which included a waiting room (between 20-25 chairs) and 5 clinic rooms.
III. A nurse is a manager. Nurses need to know how to delegate activities to different members of the health care team as well as know what each team member is allowed to do. Also, it is the nurse’s responsibility to provide a safe nursing environment for the patient and staff. Finally, therapeutic communication is a key feature that a nurse must
Additionally, this experience helped me to develop effective therapeutic communication techniques and enforce skills to provide enhanced care for the resident. An improvement that I would make for next semester is to improve my execution and time management while performing tasks. I intend to perform skills with greater confidence and improve my overall interactions with the patients, families, and health care workers. Improving these interactions will benefit in the overall comfort of the patient and improve the care that I will provide to them. Overall, this Long Term Care experience provided me with the necessary fundamental skills practice and critical thinking development that will be utilized in the following semesters and throughout my nursing
Imogene King Goal Attainment Theory Deciding to pursue a career in nursing, is often done form a place of giving. Giving of oneself to better the wellbeing of another. The process of providing care starts with an assessment of the situation and developing goals. Goal development happens with the patient present and takes efforts on the part of the nurse and patient.
Table of Contents PROFESSIONAL SUMMARY Resume – This resume displays my academic accomplishments as well as my work experience and other achievements. Executive Summary – This is a reflection of my professional development and accomplishments during my Baccalaureate Program at Western Governors University (WGU). Professional Reference Questionnaire – This serves as a professional reference describing my professional character. QUALITY AND SAFETY Importance of IHI Certificate – this course develops the professional nurse in the areas of Quality improvement, Patient Safety, Leadership, Patient and Family centered care and population health.
Introduction – Background information This paper is about child observation. I observed a child, Daniel (coded name). He is four years and two months old. Daniel is 103 cm and 18 kg.
Interdisciplinary Team Paper Janet Borngesser University of Alabama at Birmingham Interdisciplinary Leadership Role Development NUR 737 Dr. Martha Lavender July 15, 2015 Interdisciplinary Team Paper The neurocritical care intensive care unit (NICU) team has certainly undergone much change and transformation since the first neurocritical care physician and nurse practitioner (NP) took over the team and seven bed unit in 1999. Prior to this initial ‘team’ the NICU was managed by the neurosurgery attending and residents in between surgeries. The NICU team’s purpose was to improve and provide better care to the variety of complex neuro critical ill patient population at a 605 bed academic center in Metro Atlanta.
Classroom Observations Mrs. Canada is the first grade teacher that I observed, and the subject that she was teaching was reading. She had planned well-organized power points and crafting materials in advance, so she was prepared for the lesson. The two times I observed, the lesson that was being taught at both times was reading. Children in the classroom used a lot of previous knowledge for the lesson.